Bill To:


Hammett Excavation Inc
1545 Co Rd 2917
Dodd City, TX 75438

Services Rendered To:


Hammett Excavation Inc
1545 CR 2917
Dodd City, TX 75438
POLICY# AS2Z91471315012

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CW-201-23-1123011 03/13/2023 03/23/2023 On Receipt Callisburg V.F.D.

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Hwy 82 @ County Rd 147- Oakridge, TX

    Ordinance Info: ORDINANCE - City Of Callisburg Resolution

Subtotal $1,150.00
Total Due $1,150.00


Updated
March 23, 2023 @ 5:24 pm

Invoice updated by Geoffrey.

Status Update
March 23, 2023 @ 5:24 pm

Status changed: Draft to Pending.

Updated
October 18, 2023 @ 12:38 pm

Invoice updated by Geoffrey.